Call Transcript
Hello, this is Patricia, a digital nurse from pristeen Health System. I'm calling based on a referral from Doctor Samuel Johnson. We recently sent an email with the subject line 'Upcoming screening for your healthcare appointment,' and I'm following up on that. You can verify that I am legitimate by scrolling to the Unique code for you in that email listed as 1-0-M-N-A-Z. I repeat - the unique code in the email sent to you is 1-0-M-N-A-Z. Should I wait for you to open the email and
Thank you. My job today is to take some notes about your health and pass them along to the nursing team, which is led by Nancy Cobblestone. A member of Nancy's team will review the information I collect and will call you back with a final plan for your surgery. At the end of our discussion, I will also set up some time for you to chat with a nurse. At any point, you may ask me to work with you so you can handle interruptions. I can hold on the line, call you back and pick up where we left off and more. First, can I confirm I'm speaking with Nina or an authorized
This me ini.
Thank you. This will be a 15 to 20-minute, confidential, and important conversation. Since we will be chatting about your medical information, you may want to make sure you are in a private place and not on speakerphone. Do I have your consent to proceed?
Şu.
Great. Pristeen Health is committed to patient safety, and we want to make sure that you are well prepared for your procedure coming up in a few weeks. According to Doctor Samuel Johnson, the procedure will require you to undergo general anesthesia, and for your safety, I need to gather some information to make sure that we provide the right care. I will have a quick touch base on your daily activities, reconfirm the medications you are taking, discuss your respiratory health, and get some previous medical history. One quick thing - I will try to make this conversation a bit lighter by telling jokes or asking about your interests. It’s my way of showing I'm a friendly digital assistant—or at least I'm just trying to be funny, Nina. You don't have to go along with any of the chit-chat - just tell me if you want me to skip it. May I proceed and get to the first step of today's call?
Şort.
To understand your current physical fitness and the demands you place on your body regularly, which helps
I walk for thirty minutes three times a week.
Thank you for that information. Since you are active more than once a week, we can skip the detailed fitness questions. You know what, we are well on our way to getting you prepared for this procedure. I am going to shift my focus to your medication history. Nina, aside from any daily vitamins, what medications are you on today?
I take a pixaban.
Okay, I have that you take apixaban. Are you taking any other medications aside from that and any daily vitamins?
No.
Gotcha. So, just to confirm, the only medication you are taking, aside from any daily vitamins, is apixaban. Is that correct?
Gotcha, Nina. Thank you for that information. Nina, I know this is some serious stuff. I thought I would chit chat about something that has no impact on your clinical care. Are you a cat person or a dog person?
Cat.
Oh, that's lovely. What is its name?
Milo, that is a cute name for a pet. That's wonderful to hear. I do need to get back to getting your history. Pristeen Health wants to make sure that you are prepared for surgery, so I am going to be a good digital nurse and get that done. Nina, I am going to ask you a few questions so we can make sure that we schedule your surgery at the right venue with the right equipment. Have you ever had a problem with anesthesia, like being hard to wake up or hard to breathe for?
No.
Okay. Can you open your mouth wide enough to
Yes.
Okay. Do you have any loose teeth,
No.
Okay. Can you touch your chin to your chest and
Yeah.
Thank you. I just want to quickly confirm what I've noted down. You
Thank you for that. Just to be sure I have everything right, I've noted that you do not wear a shirt
Yes.
Okay. Have you ever had radiation or surgery on
No.
Okay. Do you snore loudly?
No.
Okay. Do you often feel tired,
No.
Okay. Has anyone observed you stop breathing,
Okay. Do you have or are you being treated for high blood
Não.
Thank you for that. Just to be sure I have it all correct, I've noted the following: For neck size, I have you do not wear a shirt collar size 17 or bigger. For neck history, I have you have not had radiation or surgery on your neck. For snoring, I have you do not snore loudly. For daytime fatigue, I have you do not often feel tired. For observed apnea, I have no one has observed you stop breathing. And for blood pressure, I have you do not have high blood pressure. Is that correct?
Yes.
I need to ask about some lifestyle factors—like smoking, alcohol use, and recreational drug use.
I don't do any of those three.
Gotcha. Thank you for your candid answers so far. To complete your social history and ensure we avoid dangerous drug interactions during your procedure, I need to ask one more sensitive question. Please remember that your responses are kept strictly confidential and are used only to plan the safest possible anesthesia and pain control for you. Have you used any non-prescribed medications, recreational
Thank you for sharing that. Just to make sure I have it all correct, I've noted the following: For smoking, I have you have never smoked. For alcohol, I have you do not consume alcohol. And for other substances, I have you have not used any non-prescribed medications or recreational drugs. Is that all correct?
Yep.
I am now going to quickly review your chart and go through a few body systems such as your heart, your lungs and so on. If I find specific events from your medical history that are relevant, I will dive deeper. If I find no medical history in a relevant area, I will ask you to reconfirm. For example, I might say, 'My records show you do not have any history of some kind of disease. I will then ask you to confirm or correct me' You will see more about how I work once I get going. Does that sound like a plan?
Şu.
I am now reviewing the health history we have on your file for your heart and cardiovascular system. My records show a history of Ventricular Septal Defect caused by a benign murmur, diagnosed in December 2015 by Doctor Andy Reid. Is this information correct, and are there any other heart-related conditions or updates you'd like to share?
That's correct. You can proceed.
Okay, your cardiology history is done. Now I will move to the next body system. Ok. Now we will discuss your health history around Hematology — which covers blood disorders — or Oncology, which covers cancer. These can significantly impact anesthesia and surgery planning, particularly related to bleeding risk, infection, and drug tolerance. I found no such history. I want to make sure I am correct.
Ok, your hematology and oncology history is done. Now moving to the next body system. I also looked at your file to see if I could find any documented conditions related to your neurological system, such as seizures or Epilepsy, Stroke or a T-I-A, Parkinson's Disease, or Multiple Sclerosis. It does not appear that you have any documented history. I want to make sure I am correct.
Yep.
Now moving to the next body system. Moving on to the next body system - now we will chat about your endocrine health. The endocrine system disorders are those such as Diabetes, which is high blood sugar, or Thyroid Disease, like